Zoledronic Acid (generic)

  • Treatment of Postmenopausal, Male and Glucocorticoid-induced Osteoporosis
    • 5mg IV q 1 year
  • Prevention of Postmenopausal Osteoporosis
    • 5mg IV q 2 years
  • Paget’s disease of bone
    • A single dose of 5mg IV


1 – Please open authorization forms (above). Fill out the forms on your computer, save and print.

2 – Open Physician Orders for the office of your choice (above). Save to your computer, print and fill out.

3 – Need past and present DXA report with T-score of spine and hip. Serum Ca++ and creatinine.

4 – The following tests should be performed and test results faxed to Pacific Infusion before the patient’s first visit: Zoledronic Acid – Serum Calcium and Creatinine

5 – Fax the completed, signed forms and a copy of the patient’s insurance card to:

Pacific Infusion Center – Fax: (310) 297-9222

6 – After the patient’s infusion appointment, our nurses will fax a copy of the infusion notes to your office.